Eligibility Representative

About the Role

What You ll Do

• Implements and maintains eligibility for benefits.
• Implements, updates, and maintains automated, direct connect and/or manual eligibility data.
• Interacts with internal partners and/or external clients/vendors. Generates reports to identify and resolve discrepancies.
• Identifies process improvement opportunities for own cases.
• May negotiate and resolve eligibility with clients.
• May provide technical support for the electronic processing of eligibility.
• Ensures customer data is installed accurately and timely.
• May work with client's format and internal Systems to resolve errors.
• May interact with Systems to resolve technical issues. General knowledge of manual and automated eligibility.
• Familiar with reporting tools. Technical understanding of systems. Issues tend to be routine in nature. Good knowledge and understanding of Eligibility and business/operating processes and procedures. Works to clearly defined procedures under close supervision

Qualifications

• Bachelor s or Diploma degree in insurance field or similar
• Minimum of 1 year experience ( Fresh grad with intership are considered as well )
• Familiar with reporting tools
• Oral communication skills in both Arabic and English
• Proven ability to work independently as well as a productive member of a team.
• Exceptional organization and time-management focus.
• Technical understanding of systems. Issues tend to be routine in nature.
• Good knowledge and understanding of Eligibility and business/operating processes and procedures.
• Works to clearly defined procedures under close supervision